Active NPI
Bernard M Friedland, O.D.
- Optometrist
- Hampton, VA
National Provider Identifier
1245277003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601000464
- Practice address
- 1900B Cunningham Dr
Hampton, VA 23666-4260 - Phone
- (757) 825-1804
- Fax
- (757) 825-5484
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601000464 | VA | Primary |
Addresses
Primary practice location
1900B Cunningham Dr
Hampton, VA 23666-4260
Mailing address
1900B Cunningham Dr
Hampton, VA 23666-4260
Phone (757) 825-1804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009230793 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1245277003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900B CUNNINGHAM DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236664260",
"telephone_number": "757-825-1804",
"fax_number": "757-825-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900B CUNNINGHAM DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236664260",
"telephone_number": "757-825-1804",
"fax_number": "757-825-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDLAND",
"first_name": "BERNARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601000464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009230793",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.